Player Registration Form - Selby and District Football League

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Selby & District Football League
Selby & District Football League
Player Registration Form
Season 2015-2016
Player Registration Form
Season 2015-2016
Please Note:
All details to be completed legibly in INK and in BLOCK CAPITALS
and signed by the player, and witnessed & signed by the club
secretary or officer of the team. Upon receipt of the registration,
acknowledgement will be emailed to the team secretary by the League
Secretary, for your records. All players must be registered with
League Secretary at least 48 hours before playing.
Please Note:
All details to be completed legibly in INK and in BLOCK CAPITALS
and signed by the player, and witnessed & signed by the club
secretary or officer of the team. Upon receipt of the registration,
acknowledgement will be emailed to the team secretary by the
League Secretary, for your records. All players must be registered
with League Secretary at least 48 hours before playing.
Name of Club ………………………………………………………………..
Name of Club ………………………………………………………………
Players Full Name and Address
Players Full Name and Address
Surname
…………………………………………………………………………………
Surname
………………………………………………………………………………
First Name(s)…………………………………………………………………
First Name(s)………………………………………………………………
Date of Birth.………………….… FAN No (if known……………………
Date of Birth.………………….…. FAN No (if known ……………………
Address………………………………………………………………………
Address………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………Post Code.……………………
………………………………………………Post Code.……………………
Tel No ………..…………………………..
Tel No ………..…………………………..
Player’s Signature ……………………………………..(Must be legible)
Player’s Signature ……………………………………..(Must be legible)
Witnessed by Club Secretary/Officer Signature
Witnessed by Club Secretary/Officer Signature
…………………………………………………….………………………......
…………………………………………………….………………………......
Date received by League Secretary
Date received by League Secretary
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